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摘要 2015年9月美国国家医学院发表了一篇题为“改善卫生保健诊断”的报告,它建议“卫生保健机构应该采用非惩罚性的文化政策和措施,对医生的诊断效能进行公开讨论和反馈”。有些不可思议的是,报告将高度专业性技能例如医疗诊断聚焦在组织文化上。然而对人们专业领域里犯的错误以及个人和组织绩效方面的最新研究已使有关认识更加清晰。目前放射科医生业务能力提升的主导模式是基于同行评议的评分,这种模式反映了传统的质量保证方法,其起源于20世纪中期的制造行业。现已建立了基于同行评议的评分系统,
Summary In September 2015, the National Medical College published a report entitled “Improving the diagnosis of health care,” which recommended that “health care institutions should adopt non-punitive cultural policies and measures to make doctors’ diagnostic efficacy Open discussion and feedback. ” Something incredible is that the report focuses on highly specialized skills such as medical diagnostics in the organizational culture. However, the latest research on the mistakes made in people’s professional fields and on the personal and organizational performance has made the awareness clearer. Currently the dominant mode of operational improvement for radiologists is based on peer review scores, a pattern that reflects the traditional approach to quality assurance that originated in the mid-20th century manufacturing industry. A rating system based on peer review has now been established,